Cited by 233Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

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Validity and utility of the current definition of binge eating

Wolfe, Barbara E., Baker, Christina Wood, Smith, Adrian T., Kelly‐Weeder, Susan·2009·International Journal of Eating Disorders

DOI 10.1002/eat.20728

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Abstract

Objective: Binge eating, a cardinal symptom of bulimia nervosa (BN) and binge eating disorder (BED), continues to pose challenges in terms of its definition and thus construct validity and clinical utility. This article reviews the available empirical data that support or refute the current DSM‐IV‐TR defined characteristics of a binge episode. Method: A systematic literature review was conducted using Medline/PubMed electronic database on DSM‐IV‐TR defined binge characteristics and associated attributes. Results: Data support the current DSM guidelines indicating that binge episodes typically occur in less than 2 h. Size of binge episodes has variability across BN and BED diagnostic groups. Loss of control (LOC) continues to be a core feature of binge eating. Negative affect is the most widely reported antecedent. Strikingly, little is known about binge episodes among individuals with anorexia nervosa‐binge/purge subtype. Discussion: Available empirical evidence supports the current DSM duration and LOC attributes of a binge episode in BN and BED. However, a more controversial issues is the extent to which size is important in the definition of a binge episode (e.g., subjective vs. objective episodes) across diagnostic categories and the extent to which binge size informs prognosis, treatment, and clinical outcomes. Further study of binge eating attributes in AN is needed. © 2009 American Psychiatric Association. Int J Eat Disord 2009

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Authors: Wolfe, B. E., Baker, C. W., Smith, A. T., & Kelly‐Weeder, S.
Affiliations: Boston College (US)
Harvard University (US)
Corresponding author: Wolfe, Barbara E.
ORCID: Wolfe, Barbara E.
Kelly‐Weeder, Susan
Venue: International Journal of Eating Disorders
Publisher: Wiley
Published: 2009-07-16
Volume: 42
Issue: 8
Pages: 674-686
ISSN: 0276-3478 (ISSN-L)
1098-108X
DOI: 10.1002/eat.20728
OpenAlex: W1991734026
Cited by: 233
References: 127
Citations by year: 2026: 3 · 2025: 8 · 2024: 12 · 2023: 7 · 2022: 9 · 2021: 12 · 2020: 11 · 2019: 15 · 2018: 15 · 2017: 14 · 2016: 16 · 2015: 25 · 2014: 21 · 2013: 17 · 2012: 23
FWCI: 2.16
Type: journal article
Language: en
Open access: closed
Licence: onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations: International Journal of Eating Disorders (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords: binge eating, DSM-IV-TR, bulimia nervosa, binge eating disorder, loss of control, negative affect, construct validity, eating disorder diagnosis
MeSH terms: Bulimia, Feeding Behavior, Humans, Surveys and Questionnaires, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Binge-Eating Disorder

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Validity and utility of the current definition of binge eating

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